Mountain Crest Counseling, LLC

Organization Active NPI Community/Behavioral Health Agency · Jemez Springs, NM

NPI 1265074777 · NPPES record last updated Aug 11, 2025

Key facts

NPI
1265074777
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
MOUNTAIN CREST COUNSELING, LLC
Practice address
16921 Highway 4
Jemez Springs, NM 87025-9453
Phone
(505) 263-4184
NPI assigned
Oct 16, 2019
Organization subpart
No

Authorized official

Name
Ms. Amelia A Trujillo, LMFT NPI 1235577735
Title
Owner/Clinical Therapist
Phone
(505) 263-4184

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
106H00000X
Community/Behavioral Health Agency 251S00000X Yes

Addresses

Primary practice location

16921 Highway 4
Jemez Springs, NM 87025-9453

Mailing address

PO Box 192
Jemez Springs, NM 87025-0192
Phone (505) 263-4184

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 11, 2025.

{
    "created_epoch": "1571184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754870400000",
    "number": "1265074777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 192",
            "city": "JEMEZ SPRINGS",
            "state": "NM",
            "postal_code": "870250192",
            "telephone_number": "505-263-4184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16921 HIGHWAY 4",
            "city": "JEMEZ SPRINGS",
            "state": "NM",
            "postal_code": "870259453",
            "telephone_number": "505-263-4184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN CREST COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-16",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A",
        "authorized_official_last_name": "TRUJILLO",
        "authorized_official_first_name": "AMELIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/CLINICAL THERAPIST",
        "authorized_official_telephone_number": "505-263-4184",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jemez Springs, NM

All providers in Jemez Springs, NM · Community/Behavioral Health Agency in New Mexico

Sources for this page

Verify at the official NPI Registry.